• 센서학회지
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• 제28권4호
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• pp.221-224
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• 2019

Based on the results of studies on acetone excretion in diabetic patients, a one - chip sensors array was fabricated by combining acetone-selective sensor materials and volatile-organic-compound sensitive sensor materials. An electonic-nose was implemented using a sensor array and confirmed selectivity for five gases. In this system, the excretion of diabetic patients and controls was sampled with solid phase microextraction fiber and transferred to the sensor array. Although the control and diabetic patients were distinct, several samples failed. In the control group, the results of blood tests were normal, but patients were highly obese. In addition, the gas chromatography mass spectrometry results for the subjects revealed chemicals that are external factors.

• Toxicological Research
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• 제26권4호
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• pp.329-337
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• 2010

Inhaled inorganic dusts, such as coal, can cause inflammation and fibrosis in the lungs, known as pneumoconiosis. Diagnosis of pneumoconiosis depends on morphological changes by radiological findings and functional change by pulmonary function test (PFT). Unfortunately, current diagnostic findings are limited only to lung fibrosis, which is usually irreversibly progressive. Therefore, it is important that research on potential and prospective biomarkers for pneumoconiosis should be conducted prior to initiation of irreversible radiological or functional changes in the lungs. Analytical techniques using exhaled breath condensate (EBC) or exhaled gas are non-invasive methods for detection of various respiratory diseases. The objective of this study is to investigate the relationship between inflammatory biomarkers, such as EBC pH or fractional exhaled nitric oxide ($FE_{NO}$), and pneumoconiosis among 120 retired coal miners (41 controls and 79 pneumoconiosis patients). Levels of EBC pH and FENO did not show a statistically significant difference between the pneumoconiosis patient group and pneumoconiosis patients with small opacity classified by International Labor Organization (ILO) classification. The mean concentration of $FE_{NO}$ in the low percentage $FEV_1$ (< 80%) was lower than that in the high percentage (80% $\leq$) (p = 0.023). The mean concentration of $FE_{NO}$ in current smokers was lower than that in non smokers (never or past smokers) (p = 0.027). Although there was no statistical significance, the levels of $FE_{NO}$ in smokers tended to decrease, compared with non smokers, regardless of pneumoconiosis. In conclusion, there was no significant relationship between the level of EBC pH or $FE_{NO}$ and radiological findings or PFT. The effects between exhaled biomarkers and pneumoconiosis progression, such as decreasing PFT and exacerbation of radiological findings, should be monitored.

• 대한한방내과학회지
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• 제19권1호
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• pp.157-167
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• 1998

Background and Purpose : Cerebrovascular reactivity(CVR) can be estimated by measuring the change of cerebral blood flow that occurs during vasostimulation. To estimate the cerebrovascular reactivity, we investigated the change of flow velocity of the middle cerebral artery(MCA) during hyperventilation and hypoventilation with the transcranial doppler. So we studied whether the CVR measured by this method could show a significant difference between the normal and the cerebral infarction subjects and whether the CVR may decrease with age in normal subjects. Methods : Using transcranial doppler, we measured the mean velocity(Vm), the pulsatility index(P.I.) at the resting state, the end of breath-holding and the end of hyperventilation in 36 normal and 10 cerebral infarction subjects, so we calculated the percentile change of mean velocity(%${\Delta}$Vm) and P.I.(%${\Delta}$P.I.) after the vasostimulation. We estimated the change of Vm, P.I., %${\Delta}$Vm and %${\Delta}$P.I. by the age group and compared those parameters between the age-matched normal control and cerebral infarction subjects. Results : The Vm in MCA significantly decreased with age(p<0.05), but there was no significant difference in Vm and P.I. between normal and cerebral infarction subjects. The %${\Delta}$Vm and %${\Delta}$P.I. in response to hyperventilation significantly decreased with age in MCA and there was significant difference in $%{\Delta}Vm$ of MCA after breath-holding between the normal and cerebral infarction subjects. Conclusion : The breath-holding and hyperventilation tests could be non-invasive and useful methods in estimation of the cerebrovascular reactivity and could be applied in the basal and follow-up evaluation of the cerebrovascular reserve of the ischemic stroke patients.

• 대한가정학회지
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• 제41권6호
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• pp.1-12
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• 2003

The purpose of this study were to analyze the anthropometric data of feet of Korean women with aging, to categorize the women's foot shapes, and to compare the shoe size according to the foot shapes in order to provide the basic information for more comfortable shoes. Subjects of this study were 181 women over age 20. They were measured with the direct measurement method and the indirect measurement method. 26 items were measured from the right foot and 6 items were taken on foot outline. Factor analysis, cluster analysis, analysis of variance, post-hoc test, and cross tabs were peformed for statistical analysis of the data by SPSS program. There were significant differences in height items, breadth items, girth items, and angle items by subjects' age. The older subjects' feet were wide and thick with big deformity on toes. The arch height of the older ones was low. This implicates that the degree of deformity on toes, the foot ratio, the foot girth, the foot breath and the arch height as well as the foot length are needed to be considered in developing comfortable shoes. Nine foot construction factors were extracted by the factor analysis of anthropometric measurements; foot size factor, heel and instep factor, malleolus lateralis factor, malleolus medialis factor, foot shape factor, shape of toes factor, heel height factor, big toe height factor, and internal factor. On the basis of the cluster analysis, three different foot shapes were categorized. Type 1 was large and wide foot with little deformity on little toe. Type 2 was medium foot with deformation of big toe, and with the lowest arch height. Type 3 was small and narrow foot with the highest arch height. Distribution of shoe size according to the foot shape was analyzed. The ball of foot breath was of wide distribution than the ball of foot girth. This implicates that girth items and breath items of the foot should be enclosed for the same foot length in the shoe sizing system.

• Tuberculosis and Respiratory Diseases
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• 제41권4호
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• pp.379-388
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• 1994

연구배경 : 수면 무호흡증후군은 수면시 반복적인 무호흡이 발생하여 일련의 심폐계통의 변화가 초래되는 질환으로 이중 동맥혈 산소포화도(arterial oxygen saturation, 이하 $SaO_2$)의 감소와 심부정맥의 발생이 임상적으로 중요한 소견이다. 무호흡시 $SaO_2$의 감소양상은 환자마다 다양하며 이는 호흡정지 기간, 호흡정지시의 산소공급원인 폐용량 및 개체의 산소소모율에 따라 결정될 것으로 예상된다. 방법 : 호흡정지와 재개시에 수반되는 $SaO_2$ 및 심박수(heart rate, 이하 HR)의 변동양상을 관찰하고, 그 변동에 관련되는 생리학적 인자들을 알아보고자 정상 남자 8명 및 정상 여자 9명 등 총 17명을 대상을 폐용량 측정, 동맥혈 가스분석을 시행하고 Harris-Benedict 식에 의거한 기초대사율을 산출한 뒤 총폐용량(total lung capacity, 이하 TLC), 기능적 잔기량(functional residual capacity, 이하 FRC) 및 잔기량(residual volume, 이하 RV) 상태에서 호흡정지를 시킨 후, $SaO_2$의 변동과 심전도를 측정기록하였다. 결과 : 호흡정지시 $SaO_2$가 기저치로부터 2% 감소하는데 걸린 시간(T2%)은 TLC, FRC 및 RV 에서 각각 $70.1{\pm}14.2$초 $44.0{\pm}11.6$초 및 $33.2{\pm}11.1$초로 TLC보다는 FRC 에서(p<0.05), FRC보다는 RV에서(p<0.05) 유의하게 단축되었다. T2%까지 호흡정지한 뒤 호흡재개시 $SaO_2$의 추가 감소는 RV에서 $4.3{\pm}2.1%$로서, TLC의 $1.4{\pm}1.0%$나 FRC의 $1.9{\pm}1.4%$ 보다 감소량이 컸고(각각 p<0.05), 최저 $SaO_2$치에서 기저치로의 회복에 걸린 시간은 TLC, FRC 및 RV에서 유의한 차이가 없었다. T2%는 각각의 폐용량 혹은 기초대사율과 유의한 상관관계는 없었으나, TLC/BMR(r=0.693, p<0.001) 및 FRC/BMR(r=0.615, p<0.025)과는 각각 유의한 상관관계를 보였고, RV/BMR(r=0.027, p>0.05)과는 유의한 상관관계가 없었다. 호흡정지와 재개의 전 과정에서 생긴 최대심박수와 최초심박수의 차이는 TLC에서 $27.5{\pm}9.2$회/분, FRC 에서 $19.1{\pm}6.0$회/분, RV에서 $26.4{\pm}14.0$회/분으로 FRC에서의 심박수 변화량이 TLC나 RV에서의 변화량보다 유의하게 적었고(각각 p<0.05), 기록상 호흡재개 시점을 전후한 5개씩의 p-p간격의 평균치는 TLC에서 $0.84{\pm}0.10$초와 $0.72{\pm}0.09$초(p<0.025), FRC에서 $0.82{\pm}0.11$초와 $0.73{\pm}0.09$초(p<0.025), RV에서 $0.77{\pm}0.09$초와 $0.72{\pm}0.09$초(p<0.05)로 모두 유의한 차이가 있었다. 결론 : 정상인에서 FRC이상에서 호흡정지시 $SaO_2$의 감소속도는 폐용량/기초대사율과 밀접한 상관관계를 보이고, 호흡정지-재개의 과정에서 생기는 동성부정맥은 FRC상태가 제일 작고 미주신경활성도의 변화가 관여하는 것으로 추정되며, RV에서의 실험결과로 미루어 수면 무호흡증후군 환자들에서 체위, 혹은 복부비만에 기인하는 기능적 잔기량의 감소가 저산소혈증의 정도나 심부정맥의 발생에 미치는 영향에 대한 연구가 필요하고, 수면시의 기능적잔기량을 증가시키는 것이 치료적 유용성이 있는지에 대한 검증도 필요하리라고 사료된다.

• Annals of Clinical Neurophysiology
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• 제14권1호
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• pp.20-24
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• 2012

Background: Migraine patients can be sensitive to external or internal stimuli, such as light, noise, or hormonal changes. Using transcranial Doppler ultrasonography (TCD) with breath-holding method, we evaluated the changes of cerebrovascular reactivity (CVR) to hypercapnia in women with migraine without aura between fasting and postprandial period. Methods: Twelve women with migraine without aura and the same number of age and sex-matched healthy controls with no significant history of headache participated in this study. Using TCD examinations, we studied mean flow velocity in middle cerebral artery with better temporal window. Each subject was examined consecutively before and after a standard meal, together with serum glucose level and blood pressure. CVR was evaluated with breath-holding index (BHI). Results: Postprandial-BHI (mean+SD) was significantly higher than fasting-BHI (mean+SD) in patients group but not in controls (in patient group; postprandial-BHI=1.38, fasting-BHI=1.08, in control group; postprandial-BHI=1.25, fasting-BHI=1.18, P=0.021 and 0.239, respectively). After meal, serum glucose level was significantly enhanced but blood pressure was not in both groups. Serum glucose level of patients showed a tendency of mild positive correlation with BHIs (${\gamma}$=0.448, P=0.032). Conclusions: Although exact mechanisms are unclear, cerebrovascular reactivity of some women with migraine without aura may be influenced by prandial state.

• 대한임상검사과학회지
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• 제39권3호
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• pp.271-276
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• 2007

Helicobacter pylori (H. pylori) infection is common in korea and high incidence at gastric ulcer and duodenal ulcer. $^{14}C-urea$ breath test ($^{14}C-UBT$) is regarded as a highly reliable and non-invasive method for the diagnosis of H. pylori infection. The purpose of this study was to evaluate the diagnositc performance of a new and rapid $^{14}C-UBT$, which was equipped with Geiger-Muller counter and compared the results with those obtained by gastroduodenoscopic biopsies (GBx). One hundred sixty-eight patients (M : F = 118 : 50) underwent $^{14}C-UBT$, rapid urease test (CLO test), and GBx. The results of $^{14}C-UBT$ were classified as positive (>50 cpm), borderline (25$^{14}C-UBT$ or CLO test results with GBx as a glod standard. In the assessment of the presence of H. pylori infection, the $^{14}C-UBT$ global performance yielded positive predictive value, negative predictive value and accuracy of 93.3% and 83.3%, respectively. However, the CLO test had performance yielded positive predictive value, negative predictive value and accuracy of 76.9%, 50.0%, respectively. In this study $^{14}C-UBT$ is a highly accurate, simple and non-invasive method or the diagnosis of follow up H. pylori infection.

• 대한후두음성언어의학회지
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• 제30권2호
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• pp.95-100
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• 2019

Background and Objectives For patients with polyps and cysts, glottal gaps resulting from their lesions have negative respiratory effects when they vocalize. Phonatory Aerodynamic System is clinically used, but is often limited in the measurement of vowels. So the researchers attempted to verify the usefulness of Phonatory Aerodynamic System by comparing differences in respiratory characteristics and patterns which can be measured by the level of connected speech. Materials and Method Among the subjects who were diagnosed through a stroboscopy, there were 33 patients with polyps and 23 patients with cysts. Then, 36 subjects who were found to have no specific findings through a stroboscopy and perceptual test were selected to the normal group. We compared respiratory characteristics and patterns. And compared vocal polyps and cysts before and after laryngeal micro surgery (LMS). Results First, difference in respiratory patterns between the normal group and the patients with polyps and cysts were examined to show that breath groups, breath group syllables, and expiratory·inspiratory volume were significantly higher in the polyp/cyst group than those in the normal group, indicating that precision was lowered during the conversation, due to reduction in speech intelligibility and interruption of communication. Second, there were significant differences in maximum phonation time, mean flow rate, and subglottal pressure among respiratory characteristics, breath groups, breath group syllables, and inspiratory volume before and after LMS, which appeared to be similar to the normal group. Conclusion The understanding of respiratory characteristics and patterns produced by patients in connected speech which is most similar to natural speech was found to be the objective and useful method for examining characteristics of the subjects.

• 한국안광학회지
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• 제21권2호
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• pp.153-158
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• 2016

목적: 호흡 알코올 농도(BrAC) 증가가 시야 및 가독시야에 미치는 영향을 알아보고자 하였다. 방법: 20대 남성 23명(평균연령 $21.17{\pm}2.19$세, BMI $22.09{\pm}2.16$)을 대상으로 호흡 알코올 농도 0.05%와 0.08%에 도달에 필요한 섭취 알코올 양을 BAC(Blood Alcohol Concentration) Dosing Software를 이용하여 산정하고 섭취시킨 후, Vision Disk를 이용해 시야와 가독시야를 각각 측정하였다. 결과: 시야는 호흡 알코올 농도 0.00%에서 $74.41{\pm}15.97^{\circ}$, 0.05%에서 $64.98{\pm}17.93^{\circ}$, 0.08%에서는 $58.33{\pm}19.01^{\circ}$로 측정되었고(p=0.000), 가독시야는 0.00%에서 $21.93{\pm}12.71^{\circ}$, 0.05%에서 $17.41{\pm}11.36^{\circ}$, 0.08%에서는 $14.26{\pm}9.93^{\circ}$로 측정되어(p=0.006), 호흡 알코올 농도가 증가할수록 시야와 가독시야 모두 감소하였다. 결론: 음주로 인한 호흡 알코올 농도 상승은 시야 및 가독시야를 감소시켜 안전사고 발생의 원인이 될 수 있으므로 이에 대한 경각심이 필요하다.

• 한국안광학회지
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• 제19권4호
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• pp.505-511
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• 2014

목적: 호흡 알코올 농도를 제한한 상태에서 알코올 섭취로 인한 호흡 알코올 농도(breath alcohol concentration, BrAC) 증가가 대비감도에 미치는 영향을 알아보았다. 방법: 20대의 남성 23명(평균연령 $21.17{\pm}2.19$세, body mass index(BMI) $22.09{\pm}2.16$)을 대상으로 Watson 공식을 기반으로 개발된 BAC(blood alcohol concentration) Dosing Software를 이용하여 호흡 알코올 농도 0.05%와 0.08%에 도달하기 위한 알코올 양을 산정하여 투여한 후 다양한 휘도(명소시, 박명시, 박명시 눈부심) 상태에서 대비감도를 측정하여 비교 분석하였다. 결과: 호흡 알코올 농도가 증가할수록 모든 공간주파수에서 대비감도는 감소하였다. 정점대비감도는 명소시 상태에서 6 cycle per degree(cpd), 박명시 상태에서 3 cpd로서 호흡 알코올 농도가 증가하여도 정점이동이 나타나지 않았지만, 박명시 눈부심 상태에서는 0%와 0.05%에서는 6 cpd, 0.08%에서는 3 cpd로서 호흡 알코올 농도 증가에 따른 정점이동이 나타났다. 결론: 음주에 의한 호흡 알코올 농도 증가는 모든 공간주파수에서 대비감도의 감소와 정점대비감도의 이동을 유발함으로써 다양한 시작업에 영향을 미치고 안전사고의 원인이 될 수 있으므로 주의하여야 한다.